Provider Demographics
NPI:1558700179
Name:WILLOW, EMILY JONES (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:JONES
Last Name:WILLOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:NICOLE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EMILY WILLIAMS
Mailing Address - Street 1:701 MANGELS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-2215
Mailing Address - Country:US
Mailing Address - Phone:843-530-1849
Mailing Address - Fax:
Practice Address - Street 1:3253 STEINER ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-3362
Practice Address - Country:US
Practice Address - Phone:415-890-3403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1389472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry